Menopause Stage

Discover what the second stage of menopause is, the average age in the United Stages, and how it is diagnosed
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A colored continuous line illustration of the sex symbol used for a female depicted by a cross underneath.
The sex symbol used for a female depicted by a cross underneath. MENOPAUSE GUIDANCE
Key Takeaways
  • Menopause marks the end of a woman’s fertility, diagnosed after 12 consecutive months without a menstrual period, including spotting.
  • The average age for reaching menopause in the United States is 51.
  • Menopause presents varying symptoms, including vasomotor symptoms, emotional changes, and cognitive shifts.

What is it?

Menopause signifies the end of a woman’s fertility. A healthcare professional can diagnose menopause retrospectively once you have gone 12 consecutive months without a menstrual period, including spotting. While blood tests are rarely necessary for a diagnosis, it is crucial to consult a healthcare professional for an accurate assessment. This stage signals the cessation of ovarian hormone production, resulting in the end of ovulation and menstrual periods.

When does it start?

In the United States, the average age for reaching menopause is 51. Menopause can occur earlier for women who smoke, live at high altitudes, are malnourished, have autoimmune diseases, or are of Hispanic or Black race. While the process varies among women, cessation of menstrual cycles is a clear marker of menopause. The countdown resets if a woman experiences a period after several months without one.

Perspectives & Symptoms

Furthermore, the social and cultural perspectives of menopause vary globally. In some cultures, menopause is seen as a time of freedom and empowerment, while in others, it may be associated with aging and loss of femininity. A woman’s experience is ultimately individual and dependent on their own perspective.

This stage of menopause brings symptoms ranging from mild to severe, including vasomotor symptoms such as hot flashes, emotional changes, and cognitive shifts. Sleep disturbances are also common during menopause, with many women experiencing insomnia or disrupted sleep. Women can select from hormonal and non-hormonal treatments as well as lifestyle changes to manage symptoms.

To learn more, visit the Symptoms of Menopause, Menopause Treatment, and Menopause Management pages.

Menopause, a pivotal life stage, signifies more than just the end of fertility; it represents a biological and emotional shift for women. This stage is officially diagnosed 12 consecutive months without a menstrual period. Menopause marks the end of ovarian hormone production, ending ovulation, menstrual cycles, and fertility. With an average onset age of 51 in the United States, factors like lifestyle and health conditions can influence its timing. Amidst diverse physical and emotional changes, a range of treatment options and lifestyle modifications are available to navigate this stage effectively and positively.

Frequently Asked Questions

What is menopause and when does it start?

Menopause is a natural biological process marking the end of a woman’s reproductive years, typically occurring between the ages of 45 and 55. It is diagnosed after a woman has gone 12 consecutive months without a menstrual period, including spotting. The average age of onset is 51 years in the United States; however, the exact timing of menopause varies among women and can be influenced by factors like genetics, lifestyle, race, and overall health.

Menopause is a gradual process that can start several years earlier, during a stage called perimenopause. Typically, women begin to experience perimenopausal symptoms like irregular menstrual cycles, around age 45. The perimenopausal stage generally lasts two to eight years, with the average duration around four years.

What happens when a woman reaches menopause?

When a woman reaches menopause, her ovaries stop producing eggs, and levels of hormones such as estrogen and progesterone decline significantly. This cessation of ovulation results in the end of menstrual periods. Menopause can result in a variety of physical and emotional changes, including vasomotor symptoms like hot flashes and night sweats, sleep disturbances, mood fluctuations, and cognitive shifts.

Perimenopause is the stage before menopause, where women typically begin to experience symptoms like irregular menstrual cycles, around age 45. Women are unable to conceive naturally after reaching menopause. Postmenopause, the stage following menopause, increased a woman’s risk of health conditions like osteoporosis and cardiovascular disease.

What is the best thing to do for menopause?

The best approach to managing menopause depends on a woman’s medical history, overall health, and lifestyle factors, and the severity of their symptoms. Lifestyle modifications such as a nutritious diet, regular exercise, stress reduction techniques, and restorative sleep are beneficial for both symptom management and overall health.

Treatment options can be hormonal like Hormone Replacement Therapy (HRT), non-hormonal like anti-depressants, procedural like laser therapy, therapy based like cognitive-behavioral therapy (CBT), natural like dietary supplements, and product based like lubricants. Consulting with a healthcare professional is always recommended to develop targeted treatment and management options.

Sources
  • Are We There Yet? Navigate Now with Our Guided Menopause Tour. The Menopause Society. https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/are-we-there-yet-navigate-now-with-our-guided-menopause-tour. Accessed October 9, 2023.
  • Harlow SD, Burnett-Bowie SM, Greendale GA, Avis NE, Reeves AN, Richards TR, Lewis TT. Disparities in Reproductive Aging and Midlife Health between Black and White women: The Study of Women’s Health Across the Nation (SWAN). Womens Midlife Health. 2022 Feb 8;8(1):3. doi: 10.1186/s40695-022-00073-y.
  • Ilankoon IMPS, Samarasinghe K, Elgán C. Menopause is a natural stage of aging: a qualitative study. BMC Womens Health. 2021 Feb 1;21(1):47. doi: 10.1186/s12905-020-01164-6.
  • Menopause: What It Is, Age, Stages, Signs & Side Effects. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/21841-menopause. Accessed October 9, 2023.
  • Menopause – Symptoms and causes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397. Accessed October 9, 2023.
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